| NPI | 1033961354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA COSTERO Managing Partner 786-286-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |